October is health care Quality Month and is celebrated throughout the nation.
At Good Samaritan, Health care quality is something that is to be celebrated
every day, not just once a year. Although the hospital has seen various
changes take place over the years on what it means to provide high-quality
and safe care, the ultimate goal of healthcare quality has not changed.
Good Samaritan is always striving to increase positive safety and quality
outcomes. It is one of only 14 hospitals in the state with Central Line
Associated Blood Stream Infections (CLABSI) at zero. Good Samaritan is
also in the top percentage in the state with patients having no hip and
knee surgery complications, as well as, a low percentage of readmissions
for these patients, making Good Samaritan the number four hospital out
of 81 reporting hospitals in the state.
The goal of Good Samaritan is to ensure that every patient who presents
to the facility for treatment receives the highest standard of quality
care possible. This is not something that one department can accomplish
alone. Every employee at Good Samaritan is vital to the successful delivery
of quality to our patients.
Safety and quality in health care are manifested by good outcomes. Although
we cannot guarantee every outcome to be positive, Good Samaritan can,
and does, strive for the best. Safe, quality care is provided by:
- Using proven “best practice, evidence based” care whenever
the evidence exists.
- Promoting and establishing a culture that makes safety and quality a habit.
- Actively listening to patients and families about the care they and their
loved ones are receiving.
- Provided those we serve with a highly reliable organization in which to
receive the care that is needed. health care is a high hazard and highly
complex industry. Good Samaritan strives every day to extend the periods
of time that we perform without experiencing any adverse events.
“Our patient safety outcomes speak for themselves,” stated
Michael Smith, Director of Patient Safety, Risk and Performance Excellence.
“Good Samaritan’s evidence based practice and safety outcomes
have consistently been at or above average in numerous categories. We
strive to maintain and exceed these outcomes every year.”
Some examples of these outcomes are:
Evidence Based Practice Outcomes
- 100% compliance in providing aspirin at arrival for heart attack patients.
- 100% compliance in providing a beta blocker for heart attack patients at
- 100% compliance with all of the heart failure evidence based practice.
- 98% compliance in the use of evidence based practice for all pneumonia patients.
- Zero (0) Early Elective Deliveries
- 100% compliance in administering the flu vaccine to those who need it and want it.
- Zero (0) Central Line Associated Blood Stream Infections (CLABSI)
- Patient identification and labeling practices are above 99% compliance.
- Surgical safety procedures (correct site marking, time-out and surgical
site verification) are at 99.2% compliance.
- Adverse drug events are 1.47 events per 10,000 doses of medication dispensed.
Well below Good Samaritan’s goal of 2.05.
- Inpatient fall rate is at 2.18 per 1,000 patient days. Well below the national
average of 3.30.
As with any health care facility there is always room for improvement. At
Good Samaritan one of our top improvement focuses is catheter associated
urinary tract infection (CAUTI). "Our CAUTI rate is currently at
1.3 Urinary Tract Infections per 1,000 catheter days, which is much higher
than we would like,” Smith said. "Over the course of the last
year, our infection prevention and nursing personnel have been working
very diligently at developing nurse driven protocols, education on urinary
catheters provided by our urologists, culture change to reflect less of
a need for catheter placement-thusly reducing the number of catheters
used, and unit based protocols designed to reduce the infection rate."
“Looking at our HCAHPS surveys, we are scoring a 9 or 10 with individuals
who would recommend Good Samaritan when seeking health care,” added
Rob McLin, President and CEO. “This number tells us that our initiatives
to provide safe and quality care to our patients is recognized by our
community. The safety and well being of every patient is the top priority
at Good Samaritan. Although not every health and safety outcome has been
met by our standards, we are constantly striving to not only meet the
national averages, but also exceed them.”